UTAH SUICIDE PREVENTION PLAN 2017-2021 - ISSUELAB
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Utah Suicide Prevention Plan
2017-2021
i
Goal
The Utah Suicide Prevention Coalition is dedicated to long-term suicide
prevention efforts. Our goal is to reduce suicide rates in Utah by 10%
by 2021 with the ultimate goal of zero suicides in Utah.
Dedication
We dedicate this plan to those whose life has been impacted by
suicidal thoughts or feelings and who bravely face each day and
choose to hope and continue to live. We also dedicate this plan
to survivors who have lost a loved one to suicide and to those
professionals, clinicians, first responders, individuals and families who
continue to engage in this work of Suicide Prevention.
1
Preface
I am pleased to share with you Utah’s Suicide Prevention Plan, the collaborative work of suicide
prevention professionals, researchers, healthcare workers, advocates, survivors, family members
and others affected by suicide. Unfortunately, suicide is a leading cause of death in Utah. Each
year we lose too many family members, friends and neighbors to suicide; more than breast cancer,
motor vehicle accidents, homicide, and many chronic physical health problems.
The purpose of any plan is to lay out long-term and short-term goals detailing the strategies and
metrics that will be used to achieve lofty goals. We should measure our efforts, and adjust our
plans and strategies accordingly. That’s the essence of the continuous quality improvement built
into this plan, meant to be a living, changing, working document that adds another important
element: hope. Hope will empower individuals, families and communities to do the work laid out
in this plan. We must act together now to prevent suicide in Utah.
Prevention works, treatment is effective, and people can and do recover from suicidal thoughts,
feelings and behaviors. In fact, 90% of people who attempt suicide do not go on to die by
suicide. Together we can make a difference to prevent suicide, provide caring, evidenced based
interventions, and foster environments that promote acceptance, healing and recovery. With a
problem as complex as suicide, no one solution will be enough. Our health, behavioral health
systems, schools and communities need to collectively work together implementing the best
practices and data available to achieve our goals.
I invite you to review our plan and find a way to become involved in local or statewide efforts.
Some key elements of our plan include:
• Safe and Effective Messaging for Suicide Prevention with Safe Reporting of Suicide
• Increasing Availability and Access to Quality Behavioral and Physical Health Care Including
Screening, Evidenced Based Interventions and Safety Planning
• Coping and Problem Solving Skills
• Connectedness to Individuals, Family, Community and Social Institutions
• Reducing Access to Lethal Means
• Support to Survivors of Suicide Loss
I want to thank those who have been instrumental in moving suicide prevention work forward in
Utah; those working in the field who help facilitate this process; the many caring and dedicated
family members, friends and professionals, whose support is life-altering for so many. I also want
to personally thank the brave individuals struggling with suicidal thoughts and encourage them to
continue reaching out for hope. As we work together collaboratively to address this problem, we
will save lives and reduce the impact suicide has on individuals, families and communities in Utah.
Please join us in this movement to prevent suicide in Utah.
Sincerely,
Doug Thomas, LCSW
Director
Utah Division of Substance Abuse and Mental Health
2
Table of Contents
INTRODUCTION.........................................................................................................................4
UTAH SUICIDE DATA.................................................................................................................5
Data Quality Improvement................................................................................................5
Intermountain West....................................................................................................6
Utah and the US.........................................................................................................6
Age and Sex.................................................................................................................7
Methods.......................................................................................................................7
Youth and LGBT.........................................................................................................8
RISK AND PROTECTIVE FACTORS........................................................................................9
Social Ecological Model.....................................................................................................9
Risk and Protective Factors..............................................................................................10
Comprehensive Suicide Prevention Approach..............................................................11
Protective Factors..............................................................................................................12
Increase availability and access to behavioral and physical health care..................13
Increased social norms supportive of help-seeking and recovery...............................14
Reduce access to lethal means.....................................................................................14
Increase connectedness to individuals, family, community and social
instiutions by creating safe and supportive school and
community-environtments.........................................................................................15
Increase safe media portrayals of suicide and adoption of safe messaging
principles.....................................................................................................................16
Increase coping and problem solving skills................................................................16
Increase support to survivors of suicide loss..............................................................17
Increase prevention and early intervention for mental health problems, suicide
ideation behaviors and substance misuse..................................................................18
Increase comprehensive data collection and analysis regarding risk and
protective factors for suicide to guide prevention effort...........................................19
CONCLUSION..............................................................................................................................20
RESOURCES..................................................................................................................................21
APPENDIX....................................................................................................................................24
3
Introduction
Living in Utah has many advantages including the best snow on Earth and many beautiful
national and state parks in which the opportunity for outdoor adventure is almost unlimited.
Utah also ranks high in a number of health and happiness related outcomes. In spite of all that
Utah has to offer, Utah continually ranks in the top ten states for high suicide rates in the U.S.
People in Utah also experience higher rates of associated mood disorders. The Utah Suicide
Prevention Coalition is dedicated to better understanding this paradox and implementing pre-
vention, intervention and postvention strategies to decrease suicide and the associated suffering
it brings.
Suicide is a major preventable public health problem in Utah and the 8th leading cause of death
(2010-2015 inclusive). Every suicide death causes a ripple effect of immeasurable pain to indi-
viduals, families, and communities throughout the state. From 2009 to 2015, Utah’s age-adjusted
suicide rate was 19.9 per 100,000 persons. This is an average of 525 suicide deaths per year. Sui-
cide was the second-leading cause of death for Utahns ages 10 to 39 years old in 2013 and the
number one cause of death for youth ages 10-17. Many more people attempt suicide than die
by suicide. The most recent data show that 6,039 Utahns were seen in emergency departments
(2014) and 2,314 Utahns were hospitalized for self-inflicted injuries including suicide attempts
(UDOH Indicator-based Information System for Public Health, 2014). One in fifteen Utah
adults report having had serious thoughts of suicide in the past year (SAMHSA National Survey
on Drug Use and Health, 2008-2009). According to the Student Health and Risk Prevention
Survey, 14.4 % of youth grades 6-12 report seriously considering suicide, 6.7% of Utah youth
grades 6-12 students attempted suicide one or more times and 13.9% of students report harming
themselves without the intention of dying in the prior year.
While suicide is a leading cause of death and many people report thoughts of suicide, the topic
is still largely met with silence and shame. It is critical for all of us to challenge this silence using
both research and personal stories of recovery. Everyone plays a role in suicide prevention and it
is up to each one of us to help create communities in which people are able to feel safe and
supported in disclosing suicide risk, including mental illness and substance use problems. We
need to break down the barriers that keep people from accessing care and support for preven-
tion, early intervention and crisis services. As you review this plan, we encourage you to identify
how you can implement any of the strategies and help create suicide safer communities.
4Data
Data Quality Improvement
The Utah Suicide Prevention Coalition seeks to continuously
improve its prevention strategies and measure proximal
and distal outcomes by monitoring Utah data relating to risk
and protective factors, suicide deaths, suicide attempts,
emergency department visits, hospitalizations, and any
other available outcomes. Local community coalitions are
strongly encouraged to conduct similar data driven quality
improvement, while including the voices of suicide survivors
and community stakeholders in their evaluation and
improvement efforts.
There are models that help support and guide communities
through this data driven process. The Strategic Prevention
Framework (SPF) developed by the Substance Abuse
Mental Health Services Administration (SAMSHA) and the
Communities That Care (CTC) are complimentary models
communities can use. The SPF is a planning process that
guides states, jurisdictions, tribes, and communities in
the selection, implementation, and evaluation of effective,
culturally appropriate, and sustainable prevention activities.
Overall, SPF uses findings from public health research
along with evidence-based prevention programs to build
capacity and sustainable prevention. CTC is a coalition-based
prevention system that activates community stakeholders
to collaborate on the development and implementation of
a science-based community prevention system. Activating
a coalition of stakeholders holds promise for coordinated,
widespread change in preventive services across
organizations and agencies in a community.
5Intermountain West
The Intermountain West has seven out of ten of the highest rates of suicide in the nation. Utah had
the 7th highest suicide rate in the U.S. in 2014, ages 10 years and older. An average of 557 Utahns
die from suicide and 4,410 Utahns attempt suicide each year.
Figure 1: Map of the United States displaying
suicide rankings in Intermountain West
1
9
8 4
6
7 5
3 10
2
Source: Centers for Disease Control and Prevention
Utah and the US
Utah’s suicide rate has been consistently higher than the national rate for more than a
decade (Figure 2). On average, two Utahns die as a result of suicide every day and twelve
Utahns are treated for suicide attempts every day. All suicide attempts should be taken seri-
ously. Those who survive suicide attempts are often seriously injured and many have depres-
sion and other mental health problems.
Figure 2: Rate of Suicides per 100,000 Population
Ages 10+ by Year, Utah and U.S., 1999-2014
Source: Utah Department of Health
6Age and Sex
Overall, Utah males (36.0 per 100,000 population) had a significantly higher suicide rate
compared to Utah females (10.6 per 100,000 population) However, Utah females had
significantly higher ED visit and hospitalization rates for suicide attempts compared to Utah
males. Utah males had significantly higher rates of suicide compared to Utah females in every
age group (Figure 3).
Figure 3: Rate of Suicide per 100,000 Population by
Age Group and Sex,
Source: Utah Department of Health
Methods
Use of a firearm was the most common method of suicide deaths for Utahns followed by
suffocation, then poisoning.
Figure 4: Percent of Suicide by Method of Injury,
Ages 10+, Utah, 2012-2014
Source: Utah Department of Health
7Youth
8Risk and Protective Factors
Social Ecological Model
The Utah Suicide Prevention Coalition is a partnership of community members, suicide
survivors, service providers, researchers, and others dedicated to saving lives and
advancing suicide prevention efforts in Utah. The Utah Suicide Prevention Coalition has
worked to create and implement the 2013 state plan and this 2017 plan in order to outline
effective, evidence based strategies for promoting wellness and preventing suicide and the
suffering that accompanies it. The Utah Suicide Prevention Plan addresses suicide from a
risk and protective factor model.
Suicide is a complex outcome influenced by individual, family, relational, community, and
societal factors. Comprehensive prevention strategies must address the factors that
increase risk for suicide and the factors that protect from suicide risk across all of these
levels. The social ecological model provides a framework for this understanding. The figure
below represents the National Suicide Prevention Strategy. The Utah Plan models the
national plan but is not an exact replica.
Protective Factors Risk Factors
Restrictions on lethal Unsafe media
means of suicide portrayals
Sources of continued Few available sources
care after psychiatric of supportive
hospitalizations relationships
Supportive Family history of
relationship with suicide
health care providers
Coping and problem
Substance abuse
solving skills
9Risk and Protective Factors
The Suicide Prevention Resource Center has highlighted the following as major risk and
protective factors for suicide. These factors are addressed throughout the Utah Suicide
Prevention Plan:
Protective Factors Risk Factors
Connectedness Prior Suicide Attempt(s)
Effective Behavioral Health Care Mood Disorder
Contact with Caregivers Substance Abuse
Problem Solving Skills Access to Lethal Means
As discussed above, risk and protective factors interact in many contexts to influence
an individual’s level of risk for suicide. Unfortunately, there is limited data available
concerning suicide deaths and individuals who experience suicidal behaviors and
thoughts, which can make it difficult to identify subgroups in the population with an
increased risk for suicide. This plan will address efforts to improve data collection in
order to better understand the problem of suicide broadly and in subgroups. The Na-
tional Action Alliance has provided guidance on groups who have been identified as
higher risk for suicide behaviors than the general population. In each of the goals and
strategies outlined in the Plan, communities are encouraged to examine their data, get
input from local stakeholders and focus implementation on applicable high risk popula-
tions. High-risk populations identified include:
• American Indians/Alaskan Natives
• Individuals bereaved by suicide, also known as survivors of suicide loss
• Individuals in justice and welfare settings
• Individuals engaged in non-suicidal self-injury
• Individuals who have attempted suicide
• Individuals with medical conditions
• Individuals with mental and or substance use disorders
• Lesbian, gay, bisexual and transgender (LGBT+) population
• Members of the Armed Forces and Veterans
• Men in midlife and older men
• Individuals with a history of multiple Adverse Childhood Experiences (ACES)
10Comprehensive Approach
Reducing risk factors and enhancing protective factors are critical components of any
prevention plan. It is not enough to focus on one risk factor, one protective factor, or one of
the levels in which risk and protection exist. Efforts must work to address as many factors in
as many settings as possible and create a comprehensive approach to suicide prevention. The
goal of the Utah Suicide Prevention plan is to create a comprehensive approach and roadmap
for suicide prevention in which we reach both a universal population and those with increased
risk. The plan aims to follow the comprehensive approach outlined by the Suicide Prevention
Resource Center and the 2012 National Strategy for Suicide Prevention.
To further increase the impact of the outlined suicide prevention strategies, the Utah Sui-
cide Prevention Coalition strives to implement evidence-based programs and strategies. An
evidence-based program is one that has high evidence of effectiveness that has been proven
over time and across multiple replications by independent researchers, preferably in random-
ized controlled trials. Suicide prevention is a complex and nuanced field, and some interven-
tions or efforts, while well intentioned, may cause more harm than good; particularly if they
raise awareness of the problem of suicide without giving adequate resources and skills to
build protective factors, or if they lead to suicide contagion by normalizing or glorifying suicide
unintentionally. To facilitate the use of evidence-based programs in local Utah communities,
the Utah Suicide Prevention Coalition strives to provide opportunities, resources, and training.
Fortunately, there are many evidence-based programs and strategies available, some of which
can be found here: http://www.sprc.org/resources-programs.
11Protective Factors
As mentioned previously, this suicide prevention plan addresses suicide from a risk and
protective model. Reducing risk factors and enhancing protective factors are critical
components of any prevention plan. Nine protective factors were identifed and are presented
in the following pages as a guide for provention. Each protective factor includes goals and
corresponding strategies to achieve the goals. The level of the social ecological model (SEM) is
also included.
Increase availability and access to quality physical and Level of SEM:
behavioral health care
Increase social norms supportive of help-seeking and recovery
Societal
Reduce access to lethal means
Increase connectedness to individuals, family, community and
social instiutions by creating safe and supportive school and
community environments Community
Increase safe media portrayals of suicide and adoption of safe
messaging principles
Increase coping and problem solving skills
Interpersonal
Increase support to survivors of suicide loss
Increase prevention and early intervention for mental health
problems, suicide ideation and behaviors and substance misuse
Individual
Increase comprehensive data collection and analysis regarding
risk and protective factors for suicide to guide prevention efforts
12Protective Factors
Increase Availability and Access to Quality Physical and
Behavioral Health Care
Goal 1: Promote the adoption of the ‘Zero Suicide’ framework by health
Level of SEM
and behavioral health care providers statewide.
Strategies:
1. Engage leadership in a commitment to reduce suicide deaths
2. Develop a confident, competent, and caring workforce (quality training
CMEs and CEUs for healthcare professionals)
3. Identify every person at risk for suicide using quality assessments
(increase use of the Columbia-Suicide Severity Rating Scale)
4. Suicide Care Management Plan (policies and procedures)
5. Use evidence based treatment to treat suicidal thoughts and behav-
iors directly (use of the Stanley Brown Safety Plan, Counseling on Access
to Lethal Means, Collaborative Assessment and Management of Suicid-
ality, Dialectical Behavioral Therapy, and Cognitive Behavioral Therapy for
Suicide Prevention)
6. Support patients through every transitions in care (sources of con-
tinued care after psychiatric hospitalization, warm handoffs and caring
contacts and follow up procedures during care transitions)
7. Apply data driven quality improvement
GOAL 2: Expand and strengthen Utah’s existing crisis services and
follow-up after a crisis
Strategies:
1. Promote existing services to increase awareness and utlilization
2: Increase use of areas offering Mobile Crisis Outreach Teams (MCOT),
receiving centers and other stepped interventions and services
GOAL 3: Increase access to physical and behavioral healthcare services
Strategies:
1: Increase % of Utahns with health and behavioral health insurance
2: Increase access to services of Utahns who remain uninsured
3: Increase telehealth availability, particularly in rural communities
4: Increase access to psychotropic medication Prescribers / Psychia-
trists
13Protective Factors
Increase Social Norms Supportive of Help-seeking and Recovery
GOAL 1: Increase awareness of suicide as a preventable public health Level of SEM
problem utilizing research-informed communication that is designed to
prevent suicide by changing knowledge, attitudes and behaviors.
Strategies:
1. Annually distribute data and resource flyers to professionals and
individuals in Utah which includes suicide data, prevention resources
and crisis line numbers
2. Continue to increase Utah capacity for evidence based gatekeeper
trainings (such as ASIST, Mental Health First Aid, Question, Persuade,
Refer (QPR), etc.)
3. Develop, implement and evaluate communication initiatives that
reach the whole or segments of the population to increase help seek-
ing and promote recovery (e.g., Man Therapy, Health Minds Utah, YOUTH
Campaign, social media, www.utahsuicideprevention.org)
Reduce Access to Lethal Means
Level of SEM
GOAL 1: Provide training to providers (pharmacists, counselors, and
physicians) who interact with individuals who may be at risk for suicide
on counseling on access to lethal means.
GOAL 2: Partner with firearm retailers and gun owners to incorporate
suicide awareness and prevention as a basic tenet of firearm safety and
responsible firearm ownership.
GOAL 3: Promote and distribute tools/strategies to reduce access to
lethal means such as gun locks, safes, and medication lock boxes/bags,
etc. Promote existing resources such as drug take back event, rx drop
off, and Use Only As Directed campaign.
14Protective Factors
Increase Connectedness to Individuals, Family, Community and
Social Institutions by Creating Safe and Supportive School and
Community Environments Level of SEM
GOAL 1: Support primary prevention and early identification of Adverse
Childhood Experiences using partnerships with government, healthcare
and behavioral healthproviders, schools and non-profits
GOAL 2: Promotion of child abuse prevention services such as in home
intervention and parenting programs (Love and Logic, Strengthening
Families, Nurse Family Partnership)
GOAL 3: Create safe environments for Lesbian, Gay Bisexual,
Transgender, and Queer/Questioning (LGBTQ+) youth and young adults
including the promotion of research-supported initiatives such as Gay
Straight Alliances, the Family Acceptance Project, and the Trevor Project
GOAL 4: Utilize community coalitions to increase opportunities for
prosocial involvement by all community members
GOAL 5: Promote evidence based training, policies and protocols for first
responders to support them in responding to mental health, substance
use and suicide related incidences in the community
GOAL 6: Partner with businesses to implement workplace wellness and
suicide prevention/postvention strategies
GOAL 7: Support USBE and Local Education Authorities in the adoption
of evidence based suicide prevention, intervention, and postvention
strategies and policies
GOAL 8: Utilize the existing peer support infrastructure to embed suicide
prevention strategies in supporting individuals in recovery
15Protective Factors
Increase Safe Media Portrayals of Suicide and Adoption of
Safe Messaging
Goal1: Increase positive hopeful communications efforts and support Level of SEM
safe communication strategies in all media channels.
GOAL 2: Educate stakeholders and media representatives about safe
messaging principles through resources like the National Action Alliance
for Suicide Prevention.
GOAL 3: Use multiple media channels to increase sharing of lived experi-
ence stories of recovery from suicide and mental health conditions.
Increase Coping and Problem Solving Skills
Level of SEM
GOAL 1: Implement universal and indicated evidence-based health
education and social/emotional health programs (such as: DBT STEPS-
A, Positive Behavioral interventions and Supports in schools, The Good
Behavior Game, Botvin’s Life Skills, etc.).
GOAL 2: Implement and promote evidence-based parenting programs
like Guiding Good Choices or Strengthening Families.
16Protective Factors
Increase support to Survivors of Suicide Loss
Level of SEM
GOAL 1: Increase outreach to survivors of suicide loss through key part-
nerships to promote awareness of and access to suicide specific grief
supports.
GOAL 2: Improve the quality and quantity of resources available to
survivors of suicide loss by providing research-supported training
opportunities.
GOAL 3: Promote and disseminate postvention protocols including but
not limited to Connect Suicide Postvention Training, in a variety of
settings: workplace, schools, clinical settings, community, and media to
promote healing and reduce risk of contagion.
GOAL 4: Provide support and resources to health and behavioral
healthcare providers for when a client under their care dies by suicide.
17Protective Factors
Increase Prevention and Early Intervention for Mental Health
Problems, Suicide Ideation and Behavior and Substance Misuse
Level of SEM
GOAL 1: Increase awareness of suicide as a preventable public health
problem using research-informed communication that is designed to
prevent suicide by changing knowledge, attitudes and behaviors.
GOAL 2: Develop and sustain public-private partnerships to advance
suicide prevention.
Strategies:
1. Utah Suicide Prevention Coalition including workgroups as currently
constituted: Youth, LGBTQ, First Responders, Community Awareness,
Firearm Safety, Workplace, Zero Suicide, Executive Committee
2. The Utah Suicide Prevention Coalition will provide support and
technical assistance to community coalitions statewide to improve
infrastructure and ability to address suicide prevention in their local
communities
GOAL 3: Continue to increase Utah capacity for evidence based gate-
keeper trainings (such as ASIST, Mental Health First Aid and/or Ques-
tion, Persuade, Refer (QPR)).
GOAL 4: Promote and support the expansion of school based mental
health services, Mobile Crisis Outreach Team, and Family Resource
Facilitator Programs in all communities throughout Utah.
GOAL 5: Promote the implementation of mental health screening and
referral in work sites, schools, senior centers, and community settings.
18Protective Factors
Increase Comprehensive Data Collection and Analysis Regarding
Risk and Protective Factors for Suicide to Guide
Prevention Efforts
Level of SEM
GOAL 1: Partner with the Office of the Medical Examiner to increase
access to data regarding suicide fatalities.
GOAL 2: Implement the state level suicide fatality review committee to
reduce gaps in services, improve inter-agency collaboration, and reduce
barriers to accessing care.
GOAL 3: Strategize and prioritize methods to collect more comprehen-
sive data regarding LGBTQ persons’ risk of suicide ideation and suicide
fatality.
GOAL 4: Increase timely availability of suicide data to key stakeholders
involved in prevention efforts.
19Conclusion
to implement these
strategies
We are using • Strengthen policies, systems and
environments
these resources • Influence health care systems
• Engage communities
• Evidence-based strategies
• Health data • Enhance surveillance and
• State and federal funding evaluation systems
• Existing program resources • Communicate positive norms
• Experience and knowledgeable staff through various modalities
• Strong state and local partnerships • Build capacity for suicide
• Suicide Prevention Coalition prevention at the local level
to ensure all Utahns
Have access to physical Are connected to Receive support after
and behavioral supportive networks a suicide loss
healthcare
Experience positive Hear safe messages Receive care for men-
social norms from the media tal health problems
and substance misuse
Restrict access to Have strong coping Have access to
lethal means when and problem solving comprehensive and
suicide is present skills timely data to guide
prevention efforts
and ultimately reduce...
suicide rates in Utah by 10% by 2021 with the ultimate goal of zero
suicides in Utah.
20Resources
• Utah Suicide Prevention Coalition:
The Utah Suicide Prevention Coalition provides suicide prevention basics; listings
of local, state and national resources for those in need; resources for suicide
survivors (after a suicide loss) and for after a suicide attempt; information regarding
trainings and education the coalition offers; and ManTherapy.
http://utahsuicideprevention.org/
https://www.facebook.com/utahsuicideprevention
www.vimeo.com/utahsuicideprevention
• Youth Resources:
https://mentalhealthscreening.org/programs
http://hopesquads.com/
http://www.sprc.org/resources-programs?type=All&populations=All&settings=All&pro
blem=All&planning=All&strategies=All&state=All
http://nrepp.samhsa.gov/01_landing.aspx
http://store.samhsa.gov/product/Preventing-Suicide-A-Toolkit-for-High-Schools/
SMA12-4669
https://afsp.org/our-work/education/after-a-suicide-a-toolkit-for-schools/
• Native American Resources:
http://www.sprc.org/settings/aian
https://www.samhsa.gov/tribal-ttac
• Older Adults:
http://www.sprc.org/populations/older-adults
• Data Resources
http://www.health.utah.gov/vipp/data/suicide.html
• Mental Health Resources:
www.namiut.org
http://hs.utah.gov/overview/treatment/
www.dsamh.utah.gov
healthymindsutah.org
https://findtreatment.samhsa.gov/
workingminds.org
• Veteran Resources:
https://www.va.gov/directory/GUIDE/state.asp?STATE=UT&dnum=ALL
http://www.mentalhealth.va.gov/suicide_prevention/
http://veterans.utah.edu/
21• LGBTQ+ Suicide Prevention Resources
American Association of Suicidology: LGBT Resource Sheet
(http://www.suicidology.org/resources/lgbt) and Suicidal Behavior Among
LGBT Youth LGBT Fact Sheet
Best Practices in Creating and Delivering LGBT Cultural Competency
Trainings
(http://www.cancer-network.org/downloads/best_practices.pdf)
Celebrating LGBTQ Youth: The Role of Educators and Families
(http://scholarworks.gvsu.edu/cgi/viewcontent.cgi?article=1215&co
ntext=colleagues)
Family Acceptance Project General Booklet and Family Acceptance
Project Latter-day Saint Booklet
(http://familyproject.sfsu.edu/publications) These family education booklets have
been designated as a “Best Practice” resource for suicide prevention for
LGBT people.
Guidelines for School Based Suicide Prevention Programs (http://
www.sprc.org/bpr/section-ii/guidelines-school-based-suicide-prevention-programs)
Suicide Prevention among LGBT Youth: A Workshop for Professionals
Who Serve Youth (http://www.sprc.org/training-institute/lgbt-youth-workshop)
Model School District Policy On Suicide Prevention (https://afsp.org/
our-work/education/model-school-policy-suicide-prevention/)
Suicide Risk and Prevention for LGBT Youth (http://www.sprc.org/
library_resources/items/suicide-risk-and-prevention-lesbian-gay-bisexual-and-trans
gender-youth-1)
Talking About Suicide and LGBT Populations (AFSP, Trevor, GLSEN,
GLAAD) (http://glsen.org/article/talking-about-suicide-lgbt-populations)
Transgender Suicide: Myths, Reality and Help
(http://www.masstpc.org/pubs/Community_Suicide_Brochure.pdf)
Trevor LifeGuard Materials (http://www.thetrevorproject.org/pages/lifeguard)
LGBTQyouth.org
(http://www.lgbtqyouth.org/resources/lgbtq-youth-suicide/pilot-prevention-project/
suicide-prevention-resources)
22• Safe Messaging Resources:
http://reportingonsuicide.org/
http://suicidepreventionmessaging.actionallianceforsuicideprevention.org/
• After an Attempt:
http://www.utahsuicideprevention.org/after-a-suicide-attempt
http://store.samhsa.gov/product/A-Journey-Toward-Health-and-Hope-Your-Handbook-
for-Recovery-After-a-Suicide-Attempt/SMA15-4419
https://afsp.org/find-support/ive-made-attempt/
https://afsp.org/find-support/my-loved-one-made-attempt/
• Postvention Resources:
https://afsp.org/our-work/education/after-a-suicide-a-toolkit-for-schools/
http://www.utahsuicideprevention.org/after-a-suicide-loss
https://afsp.org/find-support/ive-lost-someone/ http://www.theconnectprogram.org/
http://www.sprc.org/keys-success/safe-messaging-reporting
https://afsp.org/unsafe-reporting-suicide-can-cost-lives/
http://www.workingminds.org/index.php/download_file/view_inline/85
After a Suicide: Recommendations for Religious Services and Other Public Memorial
Observances
SPRC provides a guide to help community and faith leaders who plan memorial
observances and provide support for individuals after the loss of a loved one to
suicide.
After a Suicide: A Toolkit for Schools
After a Suicide: A Toolkit for Schools was developed by AFSP and the Suicide
Prevention Resource Center to assist schools in the aftermath of a suicide (or
other death) in a school community.
Supporting Survivors of Suicide Loss: A Guide for Funeral Directors
This guide can help funeral directors and the funeral services industry serve as
they are a vital line of first response to those impacted by the profound and
crippling effects of suicide loss.
• Faith-based Resources:
https://www.lds.org/preventingsuicide/?lang=eng
http://actionallianceforsuicideprevention.org/faith-communities
23Appendix
Acronyms
• ACE - Adverse Childhood Experiences
• ASIST - Applied Suicide Intervention Skills Training
• CEU - Continuing Education Unit
• CME - Continuing Medical Education
• CTC - Communities That Care
• DBT STEPS-A - Dialectical Behavioral Therapy Skills Training for Emotional Problem
Solving for Adolescents
• EBT - Evidence Based Treatment
• IBIS - Indicator-Based Information System for Public Health
• LGBT - Lesbian, Gay, Bisexual, and Transgender Population
• LMHA - Local Mental Health Authorities
• MCOT - Mobile Crisis Outreach Team
• QPR - Question Persuade Refer
• Rx - Prescription
• SAMHSA - Substance Abuse and Mental Health Services Administration
• SEM - Social Ecological Model
• SPF - Strategic Prevention Framework
• SPRC - Suicide Prevention Resource Center
• UDOH - Utah Department of Health
• USBE - Utah State Board of Education
Icons made by: http://www.flaticon.com/ Authors: Zlatko Najdenovski, Madebyoliver, Vectors Market, Freepik
and Gregor Cresnar License: http://creativecommons.org/licenses/by/3.0/
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